Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mia Mickenberg, LPC

Individual provider Counselor · NPI 1407327034

Mia Mickenberg, LPC is a Mental Health Counselor in Blacksburg, Virginia. Qualified in 2014, 12 years ago. Practices with Thrive Counseling LLC, a 1,188-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
12
Licensed in
VA
In the registry since
2018
Specialties on file
2
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

106 Southpark Dr Ste C
Blacksburg, VA 24060-6809
Phone: (540) 376-3348
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 0701008012 (VA)
Counselor Taxonomy 101Y00000X · Licence 0701008012 (VA)

Record details

NPI number1407327034
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorNo
NPI enumeratedDecember 7, 2018
Last updated in NPPESJune 12, 2023
Certification dateJune 12, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Thrive Counseling Llc — 1188 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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